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Weight Loss Guidelines

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Weight Loss Guidelines For Malaysians

Starting Point

The initial step in the weight loss process often involves awareness and acknowledgement of one’s current BMI status. Understanding where an individual stands on the BMI spectrum is crucial for setting realistic and achievable weight loss goals. This self-assessment serves as a starting point, guiding the formulation of personalised strategies to address excess body weight.

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Group 1

BMI 23 – 24.9 kg/m2

Group 1 consists of individuals within the category of overweight. All individuals should subscribe to a healthy, well-balanced diet coupled with physical exercise. Additionally, those that fall within this category should also start with behavioural modifications such as stress management, improving sleep habits, setting realistic goals etc.

Management of obesity in Asians Group 1

Group 2

BMI 25 – 27.4 kg/m2

Group 2 comprises of individuals within the category of overweight, albeit in the upper segment in this class. Just like group 1, these individuals should also look to healthy, well-balanced diets coupled with physical exercise and behavioural modifications as mentioned. However, for individuals affected by metabolic (eg. Diabetes Mellitus, high blood pressure, high cholesterol) or mechanical (eg. Obstructive sleep apnoea, osteoarthritis) effects of obesity, the addition of pharmacotherapy can be considered for further assistance in weight loss.

Management of obesity in Asians Group 2

Group 3

BMI 27.5 – 32.4 kg/m2

Group 3 individuals fall under the category of class 1 obesity. In addition to healthy dietary habits, physical exercise and behavioural modifications as those in group 1, pharmacotherapy utilising anti-obesity medication is recommended to aid in the progress of weight loss for individuals within this group. In the event of poor response to all the modalities as aforementioned, surgical intervention can be considered, albeit with great caution and consideration.

Management of obesity in Asians Group 3

Group 4

Group 4: BMI 32.5 – 37.4 kg/m2

Group 4 consists of individuals who fall under the category of class 2 obesity. As with group 3, along with healthy dietary habits, physical exercise and behavioural modifications, pharmacotherapy should be a staple for these individuals in their journey of weight loss. For those who have succumbed to metabolic or mechanical effects of obesity as mentioned above, surgery should then be discussed, again, with ample consideration.

Management of obesity in Asians Group 4

Group 5

BMI ≥ 37.5 kg/m2

Group 5 represents individuals who fall under class 3 obesity, commonly known as morbid obesity. As these individuals have the highest risk of obesity-related complications, all listed interventions should be implemented including, healthy dietary habits, physical exercise, behavioural modifications, pharmacotherapy. Surgery should be a core component of holistic management but should be carefully tailored to individual patients.

Management of obesity in Asians Group 5